Active NPI
Michael Weathers, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Logan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 13393756-1205
- Practice address
- 2310 N 400 E Ste a
Logan, UT 84341-1796 - Phone
- (435) 787-2000
- Fax
- (435) 787-1913
- NPI assigned
- May 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 13393756-1205 | UT | Primary |
Addresses
Primary practice location
2310 N 400 E Ste a
Logan, UT 84341-1796
Mailing address
280 S Main St
Bountiful, UT 84010-6236
Phone (801) 505-0821
Other practice location 1
5125 Skyline Rd S
Salem, OR 97306-9427
Phone (503) 847-3352
Other practice location 2
1030 S Medical Dr Ste A
Brigham City, UT 84302-3119
Phone (435) 723-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, UT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Texas Medical School at San Antonio, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2310 N 400
Suite a
North Logan, UT 84341-1796
Phone (435) 787-2000
Hospital & facility affiliations
- Ascend Home Health
- Brigham City Community Hospital
- Intermountain Health Logan Regional Hospital
- Cache Valley Hospital
- Nell J Redfield Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caribou Medical Center, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Caribou Medical Center, Inc | Current | Accepting new patients | |
| Alpine Management and Consulting | Sports Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
5125 Skyline Rd S
Ofc
Salem, OR 97306
Phone (503) 361-5400
5125 Skyline Rd S
Salem, OR 97306
Phone (503) 361-5400
1030 S Medical Dr
Ste A
Brigham City, UT 84302
Phone (435) 723-4500
55 E Golf Course Rd
Logan, UT 84321
Phone (435) 760-3734
2310 N 400 E
Ste A
North Logan, UT 84341
Phone (435) 774-8547
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- mweathers@alpineortho.emadirect.md
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Logan, UT
- NPI 1427184449
-
- Critical Access Hospital
- Soda Springs, ID
- NPI 1942970272
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- Rural Health Clinic/Center
- Soda Springs, ID
- NPI 1548930878
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brigham City, UT
- NPI 1245282227
-
- General Acute Care Hospital
- Logan, UT
- NPI 1831108497
-
- Home Health Agency
- Logan, UT
- NPI 1295999555
-
- General Acute Care Hospital
- North Logan, UT
- NPI 1952703472
-
- Critical Access Hospital
- Malad, ID
- NPI 1609826270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1972821072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 S MAIN ST",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840106236",
"telephone_number": "801-505-0821",
"fax_number": "801-505-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 N 400 E STE A",
"city": "LOGAN",
"state": "UT",
"postal_code": "843411796",
"telephone_number": "435-787-2000",
"fax_number": "435-787-1913"
}
],
"practiceLocations": [
{
"address_1": "5125 Skyline Rd S",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973069427",
"country_code": "US",
"telephone_number": "503-847-3352",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1030 S Medical Dr Ste A",
"address_purpose": "LOCATION",
"city": "Brigham City",
"state": "UT",
"postal_code": "843023119",
"country_code": "US",
"telephone_number": "435-723-9700",
"fax_number": "435-723-9710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEATHERS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-13",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "UT",
"license": "13393756-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.